Auditors

Enter Job Description...

• This is a full-time position with the NYS Medicaid Program's Bureau of Provider Enrollment (BPE). BPE staff are responsible for enrolling and revalidating providers in NYS Medicaid and maintaining provider records in eMedNY. This includes:
• Ensuring that the paper application and required documentation are complete, current, and valid, and data entered by fiscal agent into tracking system is consistent with the submitted application adhering to Federal and State, requirements, policies and procedures.
• Navigating various Federal and State databases, including Medicare's enrollment system (PECOS), NPI Registry (NPPES), New York State Education Department, Office of the Professions Verification Search, and other states' licensing verification websites, to verify information supplied on application is current and valid.
• Contacting providers via email or phone if information is incomplete or requires further clarification in a clear, concise, tactful manner.
• Entering and updating provider information in eMedNY
• Meeting production and quality standards
• File, maintain, upload documents according to procedures in a timely manner
• Employees are requested to refrain from taking time off during the initial training period, up through the first 90 days to ensure the best learning outcomes.

Additional Skill Level, Experience or Other Requirements:

• Previous experience reviewing, verifying, validating detailed/sensitive information using web-based verification sources (Preferred)
• Data entry experience (Preferred)
• Strong computer skills, including proficiency in Microsoft Office, internet navigation (Preferred)
• Strong communication skills (written and verbal)
• Previous customer service experience
• Excellent organizational skills
• Ability to be flexible, innovative, work independently, recognize and manage priorities with minimal supervision and as a team member.
• Highschool graduate or equivalent,

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